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Abstract：
Contrast-enhanced mammography (CEM) is a relatively recent diagnostic technique increasingly being utilized in clinical practice. Until recently, there was a lack of standardized reporting for CEM findings. However, this has changed with the publication of a supplement in the Breast Imaging Reporting and Data System (BI-RADS). A comprehensive understanding of CEM is essential for further enhancing its role in both screening and managing patients with breast malignancies. CEM can also be beneficial for problem-solving, improving the management of uncertain breast findings. Practitioners in this field should become more cognizant of how and when to employ this technique and interpret the various CEM findings. This paper aims to outline the key findings in the updated version of the BI-RADS specifically dedicated to CEM. Additionally, it will present some clinical cases commonly encountered in clinical practice.Critical relevance statement Standardized reporting and a thorough understanding of CEM findings are pivotal for advancing the role of CEM in screening and managing breast cancer patients. This standardization contributes significantly to integrating CEM as an essential component of daily clinical practice.Key points • A complete knowledge and understanding of the findings outlined in the new BI-RADS CEM are necessary for accurate reporting.• BI-RADS CEM supplement is intuitive and practical to use.• Standardization of the CEM findings enables more accurate patient management.
摘要：
对比增强乳房X线照相术（CEM）是一种相对较新的诊断技术，在临床实践中越来越多地使用。直到最近,CEM结果缺乏标准化报告。然而,随着乳腺影像学报告和数据系统(BI-RADS)的增刊的发布,这种情况发生了变化.全面了解CEM对于进一步增强其在筛查和管理乳腺恶性肿瘤患者中的作用至关重要。CEM也可以有利于解决问题，改善不确定的乳房发现的管理。该领域的从业者应该更加了解如何以及何时采用这种技术并解释各种CEM发现。本文旨在概述专门针对CEM的BI-RADS更新版本中的关键发现。此外,它将介绍一些临床实践中经常遇到的临床病例。关键相关性声明标准化报告和对CEM结果的透彻理解对于提高CEM在筛查和管理乳腺癌患者中的作用至关重要。这种标准化显著有助于将CEM整合为日常临床实践的重要组成部分。关键点•全面了解和理解新的BI-RADSCEM中概述的发现对于准确报告是必要的。•BI-RADSCEM补充是直观和实用的使用。•CEM发现的标准化能够实现更准确的患者管理。
